Unhealthy Drinking Patterns and Receipt of Preventive Medical Services by Older Adults

Merrick, Elizabeth L.; Hodgkin, Dominic; Garnick, Deborah W.; Horgan, Constance M.; Panas, Lee; Ryan, Marian; Saitz, Richard; Blow, Frederic C.

doi:10.1007/s11606-008-0753-3

Cited by 41 publications

(35 citation statements)

References 23 publications

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“…The fact that this relationship occurs only for those with heavy episodic drinking rather than those who exceed monthly limits only echoes findings from a previous study on receipt of preventive services (Merrick et al, 2008b). The level of drinking represented in the group exceeding monthly limits only is not extremely high, with most respondents indicating consumption of two drinks per day most days of the month.…”

Section: Discussionsupporting

confidence: 70%

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Older Adults’ Inpatient and Emergency Department Utilization for Ambulatory-Care-Sensitive Conditions: Relationship With Alcohol Consumption

et al. 2010

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Objectives-This study examined the relationship between drinking that exceeds guidelinerecommended limits and acute-care utilization for ambulatory-care-sensitive conditions (ACSCs) by older Medicare beneficiaries.Methods-This secondary data analysis utilized the 2001-2006 Medicare Current Beneficiary Survey (unweighted n=5,570 community dwelling, past-year drinkers, 65 years and older). Selfreported alcohol consumption (categorized as within-guidelines, exceeding monthly but not daily limits, or heavy episodic) and covariates were used to predict ACSC hospitalization, emergency department visit not resulting in admission, and emergency department visit that did result in admission.Results-Heavy episodic drinking was significantly associated with higher likelihood of an ACSC emergency department visit not resulting in admission (adjusted odds ratio 1.91, 95% CI 1.11 -3.30; p<.05). Drinking pattern was not significant for other ACSC measures.Discussion-Results partially support the hypothesis that excessive drinking may be related to ACSC acute-care utilization among older adults, suggesting increased risk of lower-quality outpatient care.

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Section: Discussionsupporting

confidence: 70%

“…Older adults who drink excessively according to various criteria are less likely to receive preventive medical care (Merrick et al, 2008b;Moore et al, 2001;Ozminkowski et al, 2006). However, acute-care utilization for ACSC has seldom been explored in relation to excessive drinking.…”

Section: Introductionmentioning

confidence: 99%

Older Adults’ Inpatient and Emergency Department Utilization for Ambulatory-Care-Sensitive Conditions: Relationship With Alcohol Consumption

et al. 2010

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“…Additionally, binge drinking in this population is associated with increased risk of diabetes, cognitive impairment, hypertension, and sleep issues (Blow and Barry, 2012;Sabia et al, 2014). Older adults who participate in heavy drinking also are at a greater risk of depression and other psychiatric conditions (Merrick et al, 2008). Unlike their younger drinking counterparts, older adults face unique risks related to alcohol consumption.…”

Section: A Ccording To the Substance Abuse Mentalmentioning

confidence: 99%

“…Most studies rely on self-report measures to determine consumption frequency given alcohol use problems are typically measured with questionnaires (Blazer and Wu, 2009;Choi and DiNitto, 2011;Cummings et al, 2013;Merrick et al, 2008;Sabia et al, 2014;Sacco et al, 2009).…”

Section: A Ccording To the Substance Abuse Mentalmentioning

confidence: 99%

Drinking Behavior Among Low‐Income Older Adults: A Multimethod Approach to Estimating Alcohol Use

Clapp

Reed

Martel

et al. 2014

Alcoholism Clin & Exp Res

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“…One of the sequelae of AUD is that individuals often focus their attentions on attending to obtaining and consuming alcohol at the expense of other activities and responsibilities. This may include ignoring health preventative services and promotion measures such as annual health screenings and primary care visits (Merrick et al, 2008). Hence, because of the negative systemic effects of AUD and the related inattention to health preventative and promotion measures, it is imperative that individuals be encouraged to maintain health promotion activities early in the recovery process.…”

mentioning

confidence: 99%

Perceived Barriers to Health Promotion Behavior of Women in Early Recovery from Alcohol Use Disorder

Graham

2015

Preprint

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Women with Alcohol Use Disorder (AUD) have a higher risk of chronic illness and a mortality rate that is 50 to 100% greater than men's (National Institute on Alcohol Abuse and Alcoholism, 2008). Lifestyle changes in the recovery from AUD include adopting behaviors that foster health and identifying women's barriers to health promotion behavior is important to fostering a healthy lifestyle. The purpose of this study was to explore perceived barriers to health promotion behavior of women in early recovery from AUD. Participants were women (N = 50) who attended 12-step recovery meetings for alcoholism, of which: 86% were 26 to 57 years old; 72% had greater than a ten year history of consumption; 80% had less than six months of sobriety; 50% had relapsed three or more times. Results indicated some women perceived certain barriers to be very troublesome but generally barriers were only a moderate challenge. Greatest perceived barriers cited were financial aspects, fatigue, time management issues, selfefficacy concerns, and communication difficulties. Implications for practice include conducting research on the nature of the most concerning barriers and the impact that severity of disease, culture, ethnicity, or demographics has on these barriers. Increasing awareness of women's barriers, lobbying and supporting policies and systems processes that reduce barriers and support access to preventative services, early intervention, gender specific programs, and addressing patient-specific barriers will improve outcomes.Utilizing a comprehensive approach will have the greatest impact on the health promotion behaviors of individuals and the population health status of women with AUD.

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Unhealthy Drinking Patterns and Receipt of Preventive Medical Services by Older Adults

Cited by 41 publications

References 23 publications

Older Adults’ Inpatient and Emergency Department Utilization for Ambulatory-Care-Sensitive Conditions: Relationship With Alcohol Consumption

Older Adults’ Inpatient and Emergency Department Utilization for Ambulatory-Care-Sensitive Conditions: Relationship With Alcohol Consumption

Drinking Behavior Among Low‐Income Older Adults: A Multimethod Approach to Estimating Alcohol Use

Perceived Barriers to Health Promotion Behavior of Women in Early Recovery from Alcohol Use Disorder

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